Basic Information
Parents First Name
Parents Last Name
Child's First Name
Child's Last Name
Child's Birth Date
Street Address
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Primary Phone
Cell Phone
Email Address
We don't share your info
Child's questionnaire
Please have you child answer the below questions
What is your favorite dance move?
What do you wish you could do?
What are your greatest strengths and weaknesses?
How would you describe yourself?
What is your biggest question?
What are you curious about?
Who has had the greatest influence in your life? Why?
What makes you happy?
Who is your hero?
Scholarship Application
Fill out the information below if you would like to be considered for financial assistance
How many adults are in your household
How many children are in your household
Occupation /Employer: Parent 1
Occupation /Employer: Parent 2
Household Income
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